The influencing Factors of Doctor-patient Shared Decision Making: A Qualitative Study
10.12026/j.issn.1001-8565.2022.07.10
- VernacularTitle:医患共享决策影响因素的质性研究
- Author:
Linning YANG
1
;
Hongying ZHENG
2
;
Beibei WANG
2
;
Yan YANG
2
Author Information
1. Department of Reproductive Medicine, Renji Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200012, China
2. Shanghai JiaoTong University School of Nursing, Shanghai 200025, China
- Publication Type:Journal Article
- Keywords:
Shared Decision Making;
Barriers;
Facilitators;
Qualitative Research
- From:
Chinese Medical Ethics
2022;35(7):755-763
- CountryChina
- Language:Chinese
-
Abstract:
To explore the barriers and facilitators of shared decision making, 23 clinicians were selected for semi-structured interviews by purpose sampling and convenience sampling with phenomenological methods in qualitative research, and 7-step of Colaizzi was used to analyze the interview data. Three themes and twelve subthemes were extracted, included: individual factors of doctors (role cognition, perceived outcomes, communication skills, clinical expertise, cognitive bias) , individual factors of patients (general information, lack of disease knowledge, willingness to participate in decision making) and environmental factors (clinical situation, social environment, resources and social influence) . There were many barriers and facilitators in the implementation of doctor-patient shared decision making. It is necessary to scientifically analyze and actively deal with the influence of each factor, and find reasonable countermeasures to promote the clinical implementation of shared decision making.
